title: Conservative management of iatrogenic esophageal perforation during neonatal cardiac surgery.
abstract: Esophageal perforation is a rare, but life threatening, entity in children. The most common iatrogenic causes include nasogastric tube insertion, stricture dilation, or endotracheal intubation. Recently, transesophageal echocardiography (TEE) has been increasingly used in pediatric cardiac surgery to assess cardiac function and structural abnormalities. The safety of TEE in children is still controversial and complications such as airway obstruction, hemodynamic compromise, and esophageal injury have been reported. We recently experienced a case of esophageal perforation caused by TEE probe insertion during neonatal cardiac surgery; two weeks of conservative management resulted in complete resolution of the injury.
authors.affiliation: Division of Cardiovascular and Thoracic Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada.
authors.forename: Takashi
authors.initials: T
authors.lastname: Sasaki
authors.forename: Gordon
authors.initials: G
authors.lastname: Culham
authors.forename: Sanjiv K
authors.initials: SK
authors.lastname: Gandhi
keywords: conservative management; esophageal perforation; neonatal cardiac surgery; transesophageal echocardiography